Title Page

Employee

  • Name

  • Job Number

  • Week of Thursday

Hours and Minutes Worked

  • Friday

  • Saturday

  • Sunday

  • Monday

  • Tuesday

  • Wednesday

  • Thursday

Additional information

  • Did you get injured this week

  • If you did, explain what happened

  • Did you have proper PPE this week

  • If you do not, explain what is missing

Signatures

  • Project Engineer

  • Project Manager

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.